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FDA's policy. Among high school e-cigarette users, use of disposable e-cigarettes increased by 1,000% <br />from 2019 to 2020, and in 2020, 37% of high school users of flavored e-cigarettes reported using <br />menthol products.19 E-cigarette market share data from California confirm these trends: <br />• From February 2020 to June 2021, disposable e-cigarette sales in California increased by 51.9%. <br />Disposable products are sleek, easily concealed, pre -charged, cheap (some for less than $5) and <br />can even have higher nicotine concentrations than JUUL. They are widely sold in kid -friendly <br />flavors like fruit and candy. <br />• From February 2020 to June 2021, menthol -flavored e-cigarette sales in California increased by <br />43.1% (from 226.4 thousand to 324.0 thousand units) and menthol -flavored cartridge sales <br />increased by 44%. <br />While the FDA recently announced that it had denied marketing applications for certain flavored e- <br />cigarettes, many of the flavored products most popular among kids, like Juul, are still on the market. <br />Every day these products remain on the market, our kids remain in jeopardy. Because of the delays and <br />gaps in the FDA's actions, it is critical that states and cities step up their efforts to eliminate ALL <br />flavored e-cigarettes, as well as other flavored tobacco products. The evidence is also clear that as long <br />as any flavored e-cigarettes — including menthol -flavored products —are on the market, kids will shift <br />to them and we will not end this public health crisis. Santa Ana must close the gaps left by the FDA and <br />protect our kids from these dangerous and addictive products. <br />As the only flavored cigarette left on the market, it's also no surprise that menthol cigarettes are <br />popular among youth. Menthol cools and numbs the throat, reducing the harshness of cigarette <br />smoke, thereby making menthol cigarettes more appealing to youth who are initiating smoking. About <br />half of youth smokers use menthol cigarettes. 20 As noted previously, young people who initiate using <br />menthol cigarettes are more likely to become addicted and become long-term daily smokers.21 <br />Tobacco companies have a long history of targeting and marketing flavored tobacco products to <br />Black Americas and youth. Tobacco industry marketing, often targeted at minority communities, has <br />been instrumental in increasing the use of menthol products and in the disproportionate use of <br />menthol products by minority groups and youth. TPSAC concluded that menthol cigarettes are <br />marketed disproportionately to younger smokers and Black Americans.22 Dating back to the 1950s, the <br />tobacco industry has targeted these communities with marketing for menthol cigarettes through <br />sponsorship of community and music events, targeted magazine advertising, youthful imagery, and <br />marketing in the retail environment. This targeting continues today: in 2018, California tobacco <br />retailers in neighborhoods with the highest proportions of Black residents were more likely to <br />advertise menthol cigarettes and charged an estimated 25 cents less for Newport cigarettes, compared <br />with stores in neighborhoods with the lowest proportion of Black residents.23 Nationwide, as a result of <br />this targeting, 85% of Black smokers smoke menthol cigarettes, compared to 29%of White smokers. 24 <br />